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Factors affecting the choice of hospital based ambulatory care by the urban poor

Author

Listed:
  • Skinner, T.J.
  • Price, B.S.
  • Scott, D.W.
  • Gorry, G.A.

Abstract

This study of patients in the outpatient department at an urban hospital revealed that almost all could have reached a neighborhood center in less time and only a small number came to the hospital rather than a neighborhood center out of medical necessity. When the patients were asked about their willingness to obtain treatment at a neighborhood center, 48% were willing, 52% were not. These responses did not vary by demographic or medical characteristics but rather by the patients' stated priorities regarding medical care. 80% of those willing to change sites stressed convenience of access as a first priority compared with only 17% of those not willing to change. Emphasis on quality of care (45%) or on familiarity with the site (37%) distinguished the group not willing to change. The findings suggest that successfull efforts to persuage patients to utilize a neighborhood center must base their persuade on patients' individual priorities.

Suggested Citation

  • Skinner, T.J. & Price, B.S. & Scott, D.W. & Gorry, G.A., 1977. "Factors affecting the choice of hospital based ambulatory care by the urban poor," American Journal of Public Health, American Public Health Association, vol. 67(5), pages 439-445.
    • Handle: RePEc:aph:ajpbhl:1977:67:5:439-445_5
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    Cited by:

    1. Claudio Pinto, 2017. "Perceived quality and formation of inter-regional networks of health care migration," Advances in Management and Applied Economics, SCIENPRESS Ltd, vol. 7(3), pages 1-5.

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